RESERVE MY BELOGLAZOV SUMMER CAMP 2018 PLACE

Name *
Name
Phone *
Phone
Please enter your weight in lbs.
Address *
Address
I HEREBY RELEASE BUBO FITNESS-MMA-BOXING, BEAT THE STREETS TORONTO, ONTARIO AMATEUR WRESTLING ASSOCIATION, ANATOLY AND SERGEI BELOGLAZOV, TRAINING CAMP COACHES AND STAFF OF ANY AND ALL CLAIMS REGARDING AN INJURY OR ILLNESS THAT MAY BE CAUSED IN CONJUNCTION WITH THE BEAT THE STREETS TORONTO INTENSIVE CAMP. I ASSUME ALL RISKS. *
Parent Name *
Parent Name
Parent's Contact Number *
Parent's Contact Number
Parent or Guardian Consent *
I have read the above waiver and allow my child to participate. (Please note, we will follow up with parent or guardians to confirm.)